A Recalcitrant Huge Pyogenic Granuloma in a Young Child Mimicking as Lingual Hemangioma

Pyogenic granuloma of the oral cavity is rare, more so over the tongue in a young child. It is a soft tissue lesion thought to be due to reactive exuberant tissue reaction to local irritation or trauma. We report a case of a recalcitrant huge pyogenic granuloma in a 3 years old girl who had the lesion ever since she was 1 year old in which there was a recurrence after surgical excision. Radiological imaging suggested the lesion as a lingual hemangioma arising from the lingual arteries. Trial of propranolol was in vain and subsequent re-excision and avoidance of irritative factors turned out to be successful in treating her condition.

Keywords: pyogenic granuloma, lingual hemangioma, child